scholarly journals HERNIOPLASTY METHOD

2020 ◽  
Vol 19 (4) ◽  
pp. 47-50
Author(s):  
I. Shkvarkovskyi
Keyword(s):  
Spermatic Cord ◽  
Inguinal Canal ◽  
Subcutaneous Tissue ◽  
Rectus Sheath ◽  
Pain Syndrome ◽  
Anatomical Study ◽  
Tissue Reaction ◽  
High Recurrence Rate ◽  
Chronic Groin Pain ◽  
Hernial Sac

Autoplasty of inguinal hernias is accompanied by a high recurrence rate of the disease - 10-12%. Therefore, the main principle of surgical treatment of hernias at the present time is the performance of plastics "without tension" using modern synthetic materials. However, in any type of aloplasty, despite the inertness of the synthetic material, a tissue reaction with a pronounced inflammatory component develops around it, causing a number of specific complications. Among them are seromas, hematomas, foreign body sensation, chronic groin pain syndrome. At the same time, there is an increasing number of reports on the risk of specific complications due to contact of the allograft with the spermatic cord. This study is based on the results of a topographic and anatomical study of 50 unfixed corpses of men on the first day after death at the age of 34 to 65 years, with a height of 160.0 to 190.0 cm. cord into the anterior rectal space and the method of fixing the allograft. The proposed method is used as follows. An oblique incision in the groin area above and in the middle of the groin folds cut through the skin and subcutaneous tissue. The aponeurosis of the external oblique abdominal muscle is isolated and opened. The hernial sac is differentiated and isolated. With an oblique hernia, the latter is stitched at the neck, the remainder is cut off. With a direct hernia, the hernial sac, without opening, is immersed in the anterior urethral space. The transverse fascia is dissected from the inner opening of the inguinal canal to the outer edge of the rectus sheath. After mobilization, the spermatic cord is placed in the anterior ureal space, and the edges of the transverse fascia are sutured with a continuous suture with the elimination of the inner opening of the inguinal canal. A new exit site of the spermatic cord is formed at the lateral edge of the sheath of the rectus abdominis muscle. Plasty of the hernial defect is performed using a mesh implant, along the upper edge of which a notch is formed, the size of which corresponds to the diameter of the spermatic cord. The proposed method prevents the contact of the spermatic cord with the aloprosthesis, thereby preventing the development of specific complications. In addition, suturing the deep inguinal ring, as one of the weakest points of the inguinal canal, prevents the development of hernia recurrence. 

scholarly journals Topographic and Anatomical Evaluation of the Effectiveness of Various Methods Reducing the Height of the Inguinal Space Used in Hernioplasty for Inguinal Hernias

2018 ◽  
Vol 7 (2) ◽  
pp. 95-98
Author(s):  
A. V. Chernykh ◽  
E. I. Zakurdaev ◽  
A. M. Zaytseva
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Anatomical Study ◽  
Exclusion Criteria ◽  
Triangular Form ◽  
Safe Method ◽  
Before And After ◽  
Male Subjects ◽  
Relaxing Incisions

Purpose - to evaluate efficiency of different methods reducing height of the inguinal canal with apply in inguinal hernia repair in randomized topographic anatomical study. Material and methods. The randomized topographic anatomical study was performed on 24 unfixed cadavers of male subjects who died at the age of 50.2±6.8 years. The criterion for inclusion in the study was a triangular form of the inguinal canal with a height 2-3 cm. Postoperative cicatrices in the inguinal region, signs of the inguinal hernia and lipoma of the spermatic cord were exclusion criteria. We determined the height of the inguinal canal before and after apply different methods for reducing of this parameter. Results. The dynamic of decrease of the height of the inguinal canal in case apply new method was 30% (from 2.3±0.3 to 1.6±0.2 cm). This result is comparable with the relaxing incision by C. B. MacVay (32%; 2.2±0.4 to 1.5±0.5 cm) and it is larger than the relaxing incisions by R. I. Venglovsky (25%; 2.4±0.2 to 1.8±0.4 cm) and M. M. Ginsberg (14%; 2.2±0.4 to 1.9±0.3 cm). In this case, to apply the performed method compared to relaxing incisions does not destruction of the anterior rectus and appearance of the new hernia portal in the abdominal wall. Conclusion. The developed method of reducing height of the inguinal canal is recommended for approbation in clinical practice because it is effective and safe method.

On the issue of radical inguinal hernia surgery

1936 ◽  
Vol 32 (7) ◽  
pp. 892-892
Author(s):  
B. Ivanov
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Oblique Muscle ◽  
Abdominal Muscles ◽  
Hernia Surgery ◽  
Internal Oblique Muscle ◽  
Hernial Sac ◽  
Inguinal Hernia Surgery ◽  
Internal Oblique

Stiasnу, H. K Describes his method of radical inguinal hernia surgery, which he recommended for cases where a simple Bassi operation is not applicable due to the weakness of the fascia and abdominal muscles, to strengthen the weakest parts of the inguinal canal the lower inguinal triangle and the site of the spermatic cord exit , the hernial sac, after its isolation from the latter, is cut off as high as possible, and the cord after the incision of the internal oblique muscle of the abdomen is pushed upward at an angle of 45-90 .

On the closure of intestinal fistulas by the method of eversion of the resected segments through the fistulous opening

1930 ◽  
Vol 26 (3) ◽  
pp. 303-304
Author(s):  
M. V. Kartashev
Keyword(s):  
Medical Journal ◽  
Small Intestine ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Russian Literature ◽  
Fistulous Opening ◽  
Intestinal Tube ◽  
Hernial Sac ◽  
Main Hospital ◽  
Intestinal Fistulas

Having read in No. 10 of the Kazan Medical Journal for 1929 an article by Dr. N.I.Saudovsky on this topic and taking into account the small number of operations of this kind described in Russian literature, I decided to describe my own case, especially that it presents some features. On January 9, 1926, a 9-year-old boy, Abkhazian, S. Zh., With a neglected gangrenous right-sided inguinal hernia, was delivered to the Sukhum main hospital of Abkhazia, in serious condition. I did not dare to perform an operation to restore the intestinal tube, in view of the sharply expressed intoxication of the patient. The hernia was phlegmonous. I limited myself to removing the dead part of the scrotum and hernial sac, up to the external opening of the inguinal canal, and cut off the strangulated dead loop of the small intestine. Then I sewed several sutures to the aponeurosis and the pupar ligament of the adductor and the abductor, along with the rest of the hernial sac. The testicle and spermatic cord were isolated and preserved as they appeared to be viable. This was confirmed by the further course of the disease. The operation was performed under spinal anesthesia.

9 CASES OF AMYAND’S HERNIA IN CHILDREN

2021 ◽  
pp. 118-123
Author(s):  
M.KH. MALIKOV ◽  
◽  
F.SH. RASHIDOV ◽  
F.B. BOKIEV ◽  
F.M. KHAMIDOV ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Postoperative Period ◽  
Inguinal Canal ◽  
Posterior Wall ◽  
Vermiform Appendix ◽  
Greater Omentum ◽  
Amyand’S Hernia ◽  
Inguinoscrotal Hernia ◽  
Hernial Sac

9 children aged 4 to 14 years underwent a right-sided inguinal hernia repair, at the same time, a vermiform appendix was found in the hernial sac. All patients were hospitalized with a diagnosis of «Congenital right-sided inguinoscrotal hernia», bilateral hernias were not observed. Objectively, there were all signs of the disease, all hernias were reducible. The presence of the appendix in the hernial sac before the operation was not diagnosed either clinically or by ultrasound. The contents of the hernial sac had a thickened and long vermiform appendix, a greater omentum, and in two cases – a cecum of the type of sliding hernia. The children were operated on under general anesthesia: appendectomy and plastic surgery of posterior wall of inguinal canal were performed. No complications were observed in the postoperative period.

A new way of radical inguinal hernia surgery

1936 ◽  
Vol 32 (9) ◽  
pp. 1147-1147
Author(s):  
Тг. Bona
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Soft Tissues ◽  
Radical Surgery ◽  
New Method ◽  
Inguinal Ligament ◽  
Hernia Surgery ◽  
Hernial Sac ◽  
Inguinal Hernia Surgery

Description of a new method of radical surgery for an inguinal hernia, which probably prevents, in A.'s opinion, the development of relapses and other complications after this city of operations (suppuration, hematomas). After the usual incision of the soft tissues parallel to the inguinal ligament, isolation of the spermatic cord and hernial sac, and resection of the latter, two rows of sutures are applied.

scholarly journals Subcutaneous tissue reaction to castor oil bean and calcium hydroxide in rats

2010 ◽  
Vol 18 (3) ◽  
pp. 273-278 ◽  
Author(s):  
Samira Esteves Afonso Camargo ◽  
Sigmar de Mello Rode ◽  
Renata Falchete do Prado ◽  
Yasmin Rodarte Carvalho ◽  
Carlos Henrique Ribeiro Camargo
Keyword(s):  
Calcium Hydroxide ◽  
Castor Oil ◽  
Subcutaneous Tissue ◽  
Tissue Reaction

Study and clinical application of a porcine biomembrane for the repair of dural defects

1988 ◽  
Vol 69 (5) ◽  
pp. 707-711 ◽  
Author(s):  
Xu Bang-Zong ◽  
Pan Hong-Xue ◽  
Li Ke-Ming ◽  
Chen Xi-Jin ◽  
Tian Ying-Dei ◽  
...  
Keyword(s):  
Subcutaneous Tissue ◽  
Tissue Reaction ◽  
The Body ◽  
Cross Linking ◽  
Biophysical Properties ◽  
Content Type ◽  
Glutaraldehyde Solution ◽  
Watertight Closure ◽  
Dural Defects ◽  
The Brain

✓ A biomembrane was developed from pig peritoneum treated with 0.65% glutaraldehyde. This was evaluated for use as a dural substitute in an animal model and in a patient population. After being treated with the glutaraldehyde solution, the biomembrane lost its antigenicity while its collagen underwent an irreversible cross-linking reaction, causing it to become a stable nonviable polymer resistant to absorption by the host. The biomembrane was used experimentally in 43 procedures on 20 dogs and was applied clinically in 614 patients. The results demonstrated that it is an acceptable material for the repair of dural defects, with the following advantages: 1) it is nontoxic to the body and brain tissues, with minimal tissue reaction; 2) its biophysical properties facilitate watertight closure with sutures; 3) its distensibility makes it suitable for decompressive surgical dural repair; and 4) its visceral surface is extremely smooth, causing virtually no adhesions with the brain tissue while the outer surface readily heals with the subcutaneous tissue.

scholarly journals Evaluation of Double Mesh Modification of Chevrel’s Technique in Management of Midline Incisional Hernia

2021 ◽  
Vol 18 (1) ◽  
pp. 18-22
Author(s):  
Hazem Nour ◽  
Hany Mohamed ◽  
Mohamed Farid
Keyword(s):  
Incisional Hernia ◽  
Subcutaneous Tissue ◽  
Rectus Sheath ◽  
Incisional Hernia Repair ◽  
Bare Area ◽  
Anterior Rectus Sheath ◽  
Prolene Mesh ◽  
Posterior Rectus Sheath ◽  
Superficial Wound ◽  
Mesh Technique

Background: Chevrel’s technique provides tensionfree repair of midline incisional hernia, but wide skin and subcutaneous dissection increases rate of complications. Here, we evaluate the double mesh modification of Chevrel’s technique in midline incisional hernia repair. Methods: 22 patients with midline incisional hernia underwent double mesh modification of Chevrel’s technique. After excision of hernial sac with minimal dissection of the skin and subcutaneous tissue, the anterior rectus sheath is incised on both sides to create medial flaps that are sutured toeach other. Both recti abdominis muscles were dissected off the posterior rectus sheath, opening the retrorectus space. Prolene mesh was fixed in the retrorectus space with prolene sutures, and tailored to cover the bare area of anterior surface of both recti muscles and fixed to the lateral flaps of the anterior rectus sheath with interrupted prolene sutures. Results: We observed no recurrences, no skin necrosis, two cases of seroma, one case of superficial wound infection and one case of temporarychronic pain. Conclusion: Double mesh modification of Chevrel technique is an efficient method for treatment of midline incisional hernia, with minimal surgical site occurrences. Keywords: Chevrel technique, Double mesh technique, Midline incisional hernia

scholarly journals In Vivo Comparative Evaluation of Biocompatibility and Biodegradation of Bovine and Porcine Collagen Membranes

Membranes ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 423
Author(s):  
Abdu Mansur Dacache Neto ◽  
Suelen Cristina Sartoretto ◽  
Isabelle Martins Duarte ◽  
Rodrigo Figueiredo de Brito Resende ◽  
Adriana Terezinha Neves Novellino Alves ◽  
...  
Keyword(s):  
Bone Regeneration ◽  
Soft Tissues ◽  
Subcutaneous Tissue ◽  
Guided Bone Regeneration ◽  
Tissue Reaction ◽  
Clinical Indication ◽  
Collagen Membrane ◽  
Tissue Reactions ◽  
Porcine Collagen

Mechanical barriers prevent the invasion of the surrounding soft tissues within the bone defects. This concept is known as Guided Bone Regeneration (GBR). The knowledge about the local tissue reaction and the time of degradation of absorbable membranes favors the correct clinical indication. This study aimed to evaluate the biocompatibility and biodegradation of a bovine collagen membrane (Lyostypt®, São Gonçalo, Brazil) and compare it to a porcine collagen membrane (Bio-Gide®) implanted in the subcutaneous tissue of mice, following ISO 10993-6:2016. Thirty Balb-C mice were randomly divided into three experimental groups, LT (Lyostypt®), BG (Bio-Gide®), and Sham (without implantation), and subdivided according to the experimental periods (7, 21, and 63 days). The BG was considered non-irritant at seven days and slight and moderate irritant at 21 and 63 days, respectively. The LT presented a small irritant reaction at seven days, a mild reaction after 21, and a reduction in the inflammatory response at 63 days. The biodegradation of the LT occurred more rapidly compared to the BG after 63 days. This study concluded that both membranes were considered biocompatible since their tissue reactions were compatible with the physiological inflammatory process; however, the Bio-Gide® was less degraded during the experimental periods, favoring the guided bone regeneration process.

The Effect of Biopolymer Coatings on Hernia Meshes in a Rat Model

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Scheuerlein H ◽  
◽  
Eisold C ◽  
Keyword(s):  
Mechanical Strength ◽  
Rectus Sheath ◽  
Giant Cells ◽  
Scar Tissue ◽  
Tissue Reaction ◽  
Wilcoxon Test ◽  
Surrounding Tissue ◽  
Significant Difference ◽  
Group 2 ◽  
The Right

Purpose: To improve biocompatibility and texture of hernia meshes has played a key role in tissue engineering for decades. Biopolymer (Polyethylenimine (PEI) and 3-Glycidoxypropyltrimethoxysilane (GOPS)) coating on Polypropylene (PP) and expanded Polytetrafluoroethylene (ePTFE) mesh showed promising results in fibroblast adhesion and cell growth in an invitro analysis. The objective of this animal study was to evaluate whether this may influence the incorporation into host tissue. Methods: 30 male Lewis rats were divided into 3 groups (n=10): Group 1: ePTFE/PEI, Group 2: ePTFE/GOPS, Group 3: PP/PEI. In each animal, a 3x0.5 cm coated mesh was implanted in the right rectus sheath in sublay position, the uncoated mesh was implanted on the left equally. After 90 days, the rats were sacrificed and each side of the rectus sheath was analyzed separately for adhesions and mechanical strength. Histopathological assessment included Gieson’s stain and haematoxylin-eosin staining. The Wilcoxon test was used for statistical analyses. Results: The GOPS-coated ePTFE tends to cause more adhesions. There was no significant difference in the mechanical strength within and between the groups, but the PEI-coated polypropylene was significantly less extendible (p<0.05) compared to the uncoated PP. In group 2, Gieson’s stain showed a significantly lower surrounding tissue reaction of foreign-body giant cells and scar tissue around the PEI-coated mesh compared to the uncoated ePTFE (p<0.05). Conclusions: It is possible to coat surgical mesh devices with biopolymers. They do not lead to a lack of mechanical strength. The GOPS-coating did not show any general positive effect on the biocompatibility of meshes. The PEIcoating resulted in a lower surrounding tissue reaction and in a less extendible abdominal wall and should therefore be investigated further.

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